De Implementation ‘NO CHI Saint Joseph Health Strategy Saint Joseph Mount Sterling FY 2023-2025Table of Contents ‘At-a-Glance Summary. Introduction.. ‘Our Hospital and the Community Served Findings from the 2023-2025 CHNA. 2023-2025 Implementation Strategy. Substance Use Disor5 on Mental Health & Mental Disorders Weight status, Physical Acthity & Nuttin Conclusion .. Adoption/ Approval. a cmoime tSeee am BA Se SUBSTANCE USE DISORDERS & Wn GOAL; Reduce disease and death associated with substance use disorders through evidence-based prevention and treatment efforts Aa Seca A CD nee gn ee ee Saar Pre ecg ea ea en Oe et ee ea eee ere Seats eee eae een cs STRATEGY: use and other community resources by developing and disseminating a resource list WAV Raa at )) 1-7). | ERR ein pclae Aina Ui Ae LL SLi health outcomes for Kentucky residents AAG Oe ee ee an ee Bans asta ate PS aero a Leu em eumc ae e {and collaborate to develop and disseminate alist of mental health and ee tied WEIGHT STATUS, PHYSICAL ACTIVITY & NUTRITION RC e a eae km eer GOAL: promoting healthy eating and regular physical activity © = + — fe) Lop) 0) xe) oy Ss e) (= S ot Ww ee © Bs | fon 5 Co) SYSTEM Advocate for initiatives that address the risk factors that lead to obesity Fo pe ee eee LL eS eee nee acces ee RCS A aa eee er erate erIntroduction Saint Joseph Mount Sterling is pleased to present its 2023-2025 Implementation Svategy. This plan follows the development ofthe hospitals 2023-2025 Community Health Needs Assessment (CHNA), Which was adopted in May 2022. The CHNA report can be accessed on the hospital's website: /tpsd/Amn.chisalntosenhheath arg/healthycommuntis. Implementation Strategy Purpose The purpose of this implementation strategy report i to identify the goals, objectives and strategies that Saint Joseph Mount Sterling and CHI Sant Joseph Health will empley from fiscal years 2023-2025 toaddressthe three health priotitesientiied in the most recent CHNA: (1) Substance Use Disorders; (2) Menta Health & Mental Disorders; andl (3) Weight Status, Physical Activity & Nutrition. Serene eee aren cnn cor ‘The action plans contained within this reportbuildon the progress and ever-changing healthcareneeds ‘ofthe community served by Saint Joseph Mount Sterling. detaled impact report outlining the status ‘ofthe prior implementation plan (scl years 2020-2022) is provided in Appendix G to the 2023-2025 CCHNA report, availabe online. This Implementation strategy report meets the requirements of the Patient Protection and Affordable Care Act IRS Section 501(0 (3. Developing Strategic Implementation Plans Saint Joseph Mount Steting’s action plans for 2023-2025 include both policy and systernevel ‘Sategies that are designed to make alference in the three priority areas. 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HONE woREAOGEIOD sdnoi6 uoddns pue ‘sjeuayew euonousod seus.ey sake pue sdnos6 250] Bunsoddns aun teu s221UNjON OH 40 51 pasea1ul ze are oy ajdoad ‘iopiosp asn souesgns Bupuauodrs ad eeeSp sanave> z sey eaH Amey 6 (6102-2102 A2une> awebuow) Le *6 uoRepUNO, hase 3 aIWUY “e sBunuey ype} Atuno> “z sey jee} pmauey “9 sey ee} Apmuay “¢ sBunjuey ayeay fauno> “> spiozesfeudson “€ ‘fanins u9wa6e6u3 a9Kou3 °Z ‘enans uonseysnes waned “L auaned utasmelsan *L 194 ur paysugers9 99 01 fonans sod/aig a ene Lue94 ‘fenans Bunayéuies —_Kaains Bugajdiuo> Uuppaysiqerss ——spiozsy yersyog‘paojdo> yeas jo pere|dwo> SaoL —_ fanins ‘Sfaninsj0 4 ‘fanuns 0» ae) sBuer sents pue ‘fanins Bunajdiuo> ND en>M4 Ue, 1yeisj0%"parjdwen —"UejoN syUEr Sfonins joy :ueay aniroag suey ese ayy av suopynsas61-a1A0> !num payuy 29 Aous s3U9A9 KyUNUIWOD, (Genaie6ip yous Anuar oyn syppe jo a) aYOUS OWA HINPY “6 oueuBoxd Bulnp o22eqe% paen 40 payouis oy ssa\jous Jos) UEUBEe Buuna PaYOUIS O4M SHEKROW “2 doyooye anonuy eu sypeop ysei apIyn sor jo 94) Raq Buna PaLIEdHOYODNY “L (s9jeway 105 ‘Syuyp + pu seus 10 sup +5 se Fauyap'sKep oF 150] UI 390159}, 1 Buyuup 261g pauiodes oy syrpe sos) UNG Bulg oy (uoneindod ppo'01 sad sisause Grup) areyaseuy Brug 5 (Guquosiod Grup or 10d Bug ov anp aveY Re=q “y Sysuen asopian0 uy asea1930 ‘np uoneyndod go0'001 16d sy.e3p) Bu ‘steps nuedxe waned panosduu “1 ‘Auncawuoo aia uy ajgaene saainosaysaD/UuRS yO Pu asn aauEasqns 30 ssoUaIeNe aBpapKOUY pasea.9u] ACY eas GSO} KOTSETOUS (ope BuEfsasts pueMental Health & Mental Disorders ‘Mental lsorders involve changesin thinking, mood and/or behavior. These disorders an impact one's decisions and choices, as well as how individuals relate to one another. More than half of the US. population willbe diagnosed with 2 mental health disorder at some point inthe fetime! Mental disorders affect people of all ages and raciaethnic groups, but some populations are disproportionately impacted n Kentucky, death rates due to sulelde (17 deaths!100,000 population) are higher than inthe US. (14.1 deaths/100,000 population)” Many mental health disorders can be treated and managed, but estimates suggest that only half ofthe people with mental ilnesses receive treatment. Increasing screening for mental dsorders can help people get the treatment they need. Saint Joseph Mount Sterling is committed to addressing Mental Health & Mental Disorders through the following systemwide and hospitakspeciic strategies Mental Health & Mental Disorders Increase access to mental health services, enabling improved mental health outcomes for Kentucky residents System Strategy 1: Advocate or public polices aimed atimoroving . Support local groups that have a mision to promote Hospital Strategy 1: jereincimalcetmenaiieatheniete ommunty resources * centro bees Coo sn Prevention Manta Hest Rete om ‘ntos/ewndegovinenabealiiendadeshtm * Centers for Dee Cono sn Prevention menurrent peiod 20172019 ‘"Natonalinstie of Merl Heath Rereved fom: ps Anwammnh ventas 26 ‘ee eeMENTAL HEALTH & MENTAL DISORDERS IN MONTGOMERY COUNTY 18.2% OMe eter (14+ days in past month) *2 22.8% De accu) PNR Cato) ora P43) Oe eg UK) Rou) eee SE cca) oy ey rene 33.3% Survey respondents MT Cue ec Pea noc De eee) See 3 CEU CES et Peace} DCB Cte) Paneer) Penn ae eae eee) esa nese ten en Lari ee Cara) Peet tea ae) Pecomie aaerey Ceo Ceo MSILPauses | NAS pausyaes Varia DalQne 8 jo UOREDURUAPL Sujpnppu odds Ayunuwo> soy sanjuntiedde Aguap) Joyoa nana ‘anuent ‘seDulaus uauedap Seonpes UaIhs abueup fojod anqnd yo woddns usu ‘Ajanquay 403 satuosino yajeay jeruew panoidu Buljqeus ‘saainias yajeay [ewUaw 01 ssa228 ase010% sJap4sosiq TeqUaW 7g YESH Tea)v ron ance 4 a arenas (xn kane mun) iy Z cco a yp gr od amu gyeng yee Z io” | stimu ty 2 usu ged acai pd rane Asso ea Soncoe || ease evraunaoynnitm rata steered (ea) ur pausqense aq 0, ‘aunts pasinay Aun 94 u pausqers9 99 01 fans Sodje auyaseg ery ‘ans Bunayduios | Kanins Bunajdos | Aanuns Bunayduto> Le2qur sjeoyopaze | sepwopeDep ——_sjeowjo papaja Paysigeiss spiovai_—jogecparayduio> | yoap:paiqduo> 409 panajduio> ‘6ne6 01 Kaxinssodyard Npuo) eqeL fang sfonins Jo — ‘SAY jandjo‘uodn | >yqnd4o ¢uodn Pape pue panssi | payepue panss, uojes69] 30 9Bessed sueApe Luz2quI vosstuwes ——sugjeaesonpe | suaje Soeonpe cx ssauareme-3jgnd aoword pue aa Joysinyewne yum | Jo FBFeuMeT IM oq SHOYEUME] A ssioye é>e>onpe si0015816 2anpuo> 2901 fuotiz1unune> Jo # | SuoReUNWIWODJO ¥ | SuOHeDUMUNIED Jo # PAIDY, Teak ur poysigeise | y>reos0y payep ones sso Sool | sate6o1 a psyepuonesN | #payepuaneoN wo} 3424p | uoneps}69} dopenag ‘re15 uous TANDYaIeanps sje pareanps | ye paleonps paieanps wp 40 sinypoig poynvapt wp. | aun aol ssounosel senos (auars 7396: (ions ¢386:e) (ane Zab suedppied squedpmed eudsoy sox eudsoy oH ‘Aqpaueddns suana | Aqpayeddnssiuan2 Aq payeddns vane ae, ‘Ayunwworjo¢ ———Ayunwwe>jo¢ ——Ayunusue>s0 ¢ (Lywmdysioured | (Lyumdysouned —(, yumdysroured sys 's cexypeaine 3383) siouniedjo# oy spuer iss pue ond ‘anpuy ued, “UatON sauUar sea) 2483933 we Bust sais pur Wo ers jootpsrsiaipeas ue ers aa so6euew 2102) yes exidsoy Buowe ssousieMe pying pue aeonp3 FAY SabinoseyAUNUTWO> JauR0 ue yay jquau jo asnioig Buraqnw Jequsw ajoword oj vars: Wier tee]PP ananos pay a suoponsas 61-a/AOD dun pany 29 AOU swu2As AyunUOD, ‘wonejadod sSupuey peay Auno> 9 (000'001 194 sepyoid pjeay LDA) a4 J9pINON| UAEEH LAW “9 seni9s pleipayy siovid-90 spio3as eudson “¢ ‘ening uaw6e6uy sa/oy4u ‘ening uonneysnes waned “1 ‘awooino sip Buses pu auyeseye | Buppen jo else pue Buppen jo Ayjaisey _ageyeneiou Anvaun> ecg Z auojdxa‘9jqeene ou AuSUND Hea *Z 19pf0} 261249519 9h UL pSUSIGEISS G04 “L uaged ut ames ‘uaa Kg se2inosa/sa5)a5 ‘Aqumuuo> 1040 pue yeay rewveW jo vonezjanveUIjoiue pese2.DU| % ‘uae 0 s9pyA01d wos} seounosasfyjunuauoa sayto pue aay fesueu jo uOReUNUESSIP pasEe:Du“L 1309) u pau ersoeq OL Kanins 0d) isnins 6upaydwo> | Aonuns Bupaydwos _ Aanuns Bupaydwo> spiorsi yeisjoqfparaidwo> | yeas 0% paIsIaWOD yeas 0% ‘paIaIAWOD eas sfanunsjoy ‘Sh@AiNs 0 ‘faninsjoy seo, annnoa0g ssauaieme paseainu a6reB (01 fanuns sadyaid vnpuo) — Tequaus f20140 AupgeyeneWeight Status, Physical Activity & Nutrition Overweight and obesity are linked to many chronic health condltions including type 2 diabetes, heart, disease, stroke, hypertension, and cancer." In the US. neatly one-third (31.9%) ofthe adult population 's obese, while another two-thirds (66.7%) are overweight or obese." The rates are even higher in Kentucky, where 36% of adults are obese and 69% of adults are overweight or obese.” Regular physical activity has been shown to reduce the sk of chronic disease, lower symptoms of {depression and promote healthy sleep." However, nearly one-quarter (22.4%) of US. adults and one= third 0358) of Kentucky adults do not engage in regular physical activity outside oftheir work” Proper nutition is essential for health, yt only 12%of Kentucky residentseat the recommended serving of fut and vegetables per day. People who eat too many unhealthy fonds ae a increated rik for obesity, heat disease and type 2 diabetes.” Some people don't have access to healthy foods or cant afford to buy enough food. In Kentucky, 14.4% ofthe population experienced food insecurity within the past year, which is higher than the national rate of 10.9%* Efforts to improve weight status must not only focus on individual behaviors, but also on policy and environmental changes. Saint Joseph Mount Staring is committed to addressing Weight Status, Physical Activity & Nutrion through the fllowing system-wide and hospital specifi strategies Weight Status, Physical Activity & Nutrition Improve health ane quality of ie among community members by sel promoting healthy eating and regular physical activity ‘Advocate for intiatives tha adress the nik fs System Strategy 1: {ia\feadt sbesty and drone Jacave e'edren Hospital Strategy 1: ahesty and con dcoses and provide screening at focal events, CstopherG Harts CM, pence, tt 201) 2m Fat How Obes Tratns Amen’ Fue 2010 Washingt, Dc: Trst or Aria’ Heth FAM, etived fom in nentbhovantpon. dealin how aes eatns: oars fire 2010 "Behar is acter Suveince Stem Centers fr Osea Cartland Prevention 2020 ‘sent Health ace 20172018 Genes for Disaase Con and Preventon. Pysal Activity Bus a Healthy and stong America. Reeve fom -arng-ineiapdt "ety People 203 teed om andcheatn-stng. feeding Ameren 2019 —— motosWEIGHT STATUS, PHYSICAL ACTIVITY & NUTRITION IN MONTGOMERY COUNTY 34% 2 PUM cree core Mea Uy OTR ac 36% ECR Uy Ecc eee Cou eee) Restart BCT al} ee ca) tera Mier) 15% A rae | a ECM en CMa) i 33.7% Perea a) reseed ye t/ PTR eM oars PCM u eau rt 20% Cantar pore C ee % YO) 52.1% Students Eligible for the ee pce eels) Peace eon) Peon mate une Peo iawn Coon Cen mam aeraoyssiswe pseasaa poysygerss Leg uy aanesi6=7 vuoduiey> ‘Ayunwause> so, poysiqersa ‘uoddng _ palgns‘siosuods-o0 foypaangnd —sapnunuoddo Ayauep) GOL ——_josieue] so siosuodsjiqion ‘anronen 615 w2ys papuerpe Lua, uy aqerucnesiéa, pasuenpe poysngeise 20 sa6uey2 2g. uoaesi69]0 2a0L soyod 3018 _ saBueyp aod 0381 Br UOLINN »g AWARD yeaisAud ‘snzei1s WYHIap\,sen en (quow ised w got (6t0z-ct02 ‘unos Kewoo voy) KOE y sey WWIeDH OPMIUGy “y aplsno saAIAN>e[etshyd ou U!Bunedonsed synpe a) ANMURRDS a1 OYA € —_(KepysBuynos +5188 own snpe ) uonduursue> 2yGe126=A pure z (52=< Na UN supe 9) 95090 10 yEIENU_ND saoeg ques NIU “1 (oe =< a ya sunpeae) as8q0 axe YM SIMPY “L ‘ans[-Ba0T seins ‘seasip >yuouyp pue 11224 ul paysqerse 2g OL sway hpmiusy —_fsaqo 03 pea rep sore) Yu AKA Bonpal OL We KA sme] pa_eUA TTTLUKIPI wasp ul aseosip a]uonp pu fysaqo or pea| eur sto. 9s 342 aon I qnd 20} voddns joo] noge sie 1.7294 u pausgese aq OL auppseg fans sodas (oojaq suoaane wos oys paredoaue 288) sio1e)s169] Buowe Janins6unajdwos —_fanuns Bunajdwo> anne ssouaieme pasea.ou, Lia, 81691 63} Bunayduios sie)169) 96neB 01 Aanans paysyqensa Joseiparaxdwo> yoy ;panoqdwoa forpdans soda onpUuey ‘3401 spor Aanuns ‘sfanins jo I 09 “anroyrey "Be w8ys SXNDY Staumpoessouaseme — sajuaybe ssauaieme oees6 jo Besse DiKgnd Jo uodn —->ygndo4‘uedn soulenpe or ssouaieMe patze pue panssi Dygnd srowosd LieeK.ul—uojssiuwe suze Zae20Npe pue sioy foesonpe Paysugerss \preasey jop sioyeumey um ‘foypariang —st00isse16 pnpuo> 20 angepiBs}suope>yunui0>j0 4 ‘anayen ie ways FRINDY Lieoquy——vojssuswo> who} yeIp forpa>ugnd “an r2yen 51 wus pse9s9y ‘angepi6oy ayes siigso ‘#payerp vonesi27Gp anane. sn eS oe Lie, U1 poysngerss uonensi6e ego, eudsop. Teuoneonpajo# ——_feuojreanpayo# Lava, aysygeiss ——spiosas pasayo 3q im paiayo aq nm 3qeL —euIsIy) Jey sSusDIDs,o3se] reypsBUUaaIDs oxsr Lie, (x61) (6a) yuued Jo ¢ sioued soy Poysygeiss =q01en a“ spe ueo} ppmuEy °s — Kep/sBujLas +5 18 oy spe 9) UoNeuursuED aIGEI9BDA PUR NIL INP “> spe uyeeH APMUEY y (S2=< 1a Hum synpe 9) 2599020 yGlanuang are oym SIMPY “E sey jens Apmuay -¢ (oe =< ia ai rInpe gs] a5aq0 axe ym INPY seg jen ApmUEY Taunssoid poo YO SEVIE-IaD “Laxey AeyR Poy UBaq ancy eI ype 9) DUDJERaLE aNss—H4 pootg YO “L BOUT 26m ava Anes 0 oe pl kaos etd joo. a 11294 poysuqeas9 99 0} ‘fons odjaig —_2seassuy'se2jayp Buneo qfeoy ayeU Ue >quony> pi uonejai0> uy saBue 13294 u pausges9 aq ob sodjaig —__ Ayije2y noge ssauaieme pasea!nuy ane wio1-wnypous pue wrstar0us 25) stuedonued wesBoud ‘ouns Sunaydwo> —_Kanins Bunaqdwo> —_anins Bupayduso> Suowe se21oup asauy squedpmued welBoid squedqved wes6o1d squeduued wesBo1d puessouaveme pasea.ul36ne6 spiozei —-Joap‘paiajdwo>—-joss‘paiauo> ——_joae“parayduson 01 faninsasodyaud y>npu0> foams ‘fonins joy Sfonins joy ‘sfanins jog TARDY swuedonied weiboud panpaups painpaups painpaups 21461 04 (suduNUodde sidearm Gourd — addearfiewud — sadde avo Kiewnd Lita, 1 jor ‘paysiqess jog tpeysyqase joe paysiqeisa| paysygeis ——spiosos su0nDeuve> ‘suons2uuos ssore6iney qaL—1evdson soye5140uj0 8 sor25 A040 9 SIE, Det se poynueph ue 300 ue ond ‘a spio>a1 veg ‘uejon 24 readson wea) 248m ‘3 uoneasvowip Bur}o09 areunwassip pareunassp ‘Aueay pue uoneonpa aspiaxo ‘saunypoiq ‘sainupoig seumpoig i epyud sounypauqfeuonesnps ye rtaonpues ——jogipernpues —_jogtparonpuo aaeuluassip s6uu98%28 spio3a sByusorns sGyuaans sOujuse.0s eq ‘Ue}ON saya ——_gEB4 PNPUOD UENO SOK Byusens ——yogsswanajoy jog stuamjog ——Jow'siuanajog wea anna =nINDYvanes SS se (vonendod oono0t 184 syieap) eiaqe1g OL anp aey Wee PaIsnipy-96y “Z uoquanaig puejonue> ‘gym pasoubip vanq Jono anzy oy sinpe jo) sora ‘Ayano AsweSwow CyZ "L _ SFG I0}51089 {quou sed uno) hawoouoys SSL 9 SEALER ADM “9 SORINDEFEEAYE OU BuRedPIIEd AMA g ALAURpRS BEI IMBY “SConclusion ‘This implementation strategy for Saint Joseph Mount Stering meets the federal requirement for charktable hospital organizations to develop a three-year written plan describing haw the hospital facility plans to address the significant heath needs identified in the most recent CHNA [RS Section 501() 3]. CHI Saint Joseph Health and Saint Joseph Mount Sterling partnered with Conduent Healthy ‘Communities Institute to develop this 2023-2025 Implementation Strategy. A series of virtual meetings and workshops were conducted to identify the goal, objectives and strategies documented inthis plan. An overarching system-wide goal was developed for each health ‘need, ensuring alignment and consistency across the health system, while als allowing Saint Joseph ‘Mount Sterling to pursue its own local strategies and initiatives, The goals, objectives and strategies outlined inthis report will uide CHI Saint Joseph Health and Saint Joseph Mount Steingin thelr collaborative effrtsto address each ofthe three prioritized heath needs, Periodic evaluation of process and outcome measures willbe conducted to ensute that strategies are ontrack to be completed as described, Please use this online form to send any comments or feedback about this report bntosv/vawwchisaintosephhealth arg/healthy-community-chna-feedhack. Feedback recelved will be Incorporated into the next assessment and implementation strategy development process, 39 ‘a cmon tSAdoption/Approval (CN Sant Joseph Heats Board of Drectos includes representation across the tate and supports the ‘wotk that each facity undertakes to improve the health of thelr community The Board of Directors approves Saint Joseph Mount Sterling’ 2023-2025 Implementation Strategy that has been developed 1waddress the priorities ofthe most recent Community Health Needs Assessment, ly 2 Usa 9.9-2a wpb ven owe NXousitn\— P7022. ‘Anthony Houston, Ed.D, FACHE Date Market CEO, CHI Saint Joseph Health =o oon